Specialty Exam results:

Cpath: The bloodwork indicates the following abnormalities (reference ranges came from 
Applied Laboratory Medicine)

Hyperglycemia: probably due to stress

Slight hyperproteinemia and hyperalbuminemia:  most likely due to a slight dehydration.

Slight hyperphosphatasemia: Most likely in response to steroid administration. Dogs have a 
steroid isoform of alkaline phosphatase in which the liver produces more of this enzyme in 
response to corticosteroid administration. The dog has been given prednisolone.    The 
hyperphosphatasemia could also be due to the presence of osteoblastic activity (causes an 
increase in the bone isoform of ALP)

The following electrolytes are slightly low: sodium, chloride, potassium.  The hyponatremia and 
hypochloridemia are probably due to blood and plasma loss through wounds or rapid rehydration. 
The hypokalemia may be due to decreased oral intake (it is not known whether the dog has been 
fed). Also, increased urinary loss (from rapid rehydration) may cause hypokalemia.

There is a slightly increased anion gap. Most likely this is due to the hyperalbuminemia.

The hematocit is low, probably indicating an anemia due to loss of blood.

The urinalysis revealed trace amount of blood in the urine. This may indicate slight amount of 
irritation to the bladder mucosa, but is probably insignificant. There is a very slight bilirubinuria 
(1+); this can be normal in the dog.  

An analysis of the WBC counts cannot accurately be made because only percentages, and not 
absolute values, are provided.

Radiographs:

Femur: A midshaft nonstable, closed fracture is present in the left femur.  The fracture is further 
classified as segmental because there are three or more segments of bone with fracture lines that 
do not converge at the fracture site. This can also be classified as a Type B1 reducible wedge 
fracture.

Tibia/Fibula: As with the femur, a midshaft nonstable, closed, segmental fracture is evident on 
the right tibia and fibula.